Individual
MRS. LAURA ELIZABETH TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
121 BUNTIN ST, VINCENNES, IN 47591-1320
(812) 885-2700
Mailing address
515 BAYOU ST, VINCENNES, IN 47591-1034
(812) 886-6800
(812) 886-6809
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149.012274
IL
1041C0700X
Clinical Social Worker
Primary
99025794A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000519933
ANTHEM
IN
Enumeration date
02/13/2007
Last updated
08/05/2008
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